Short-term and oncologic outcomes of laparoscopic and open complete mesocolic excision and central ligation

Ik Yong Kim, Bo Ra Kim, Eun Hee Choi, Young Wan Kim

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

Purpose: To evaluate the pathologic, short-term and oncologic outcomes of laparoscopic and open complete mesocolic excision (CME) and central ligation for right-sided colon cancer. Methods: All patients (n = 215) underwent elective CME either by open surgery (n = 99) or laparoscopy (n = 116). Results: Mean number of retrieved lymph nodes (31 vs. 27, p = 0.012) was greater in the open CME group. Between the open and laparoscopic CME groups, there were no differences of length of the specimen (44.3 cm and 43.2 cm), ileum (14 cm and 13.3 cm), or colon (30.3 cm and 29.8 cm), respectively. Proximal and distal margins were similar. Mean operative time was similar between the open and laparoscopic CME groups (175 min vs. 178 min). The rate of 30-day postoperative complications (36.4% vs. 23.3%, p = 0.036) was higher in the open CME group. There were no differences in 3-year overall survival rates (86.9% vs. 95.5% in stage II disease and 70.2% vs. 90.7% in stage III disease) or recurrence-free survival rates (84.5% vs. 84.8% in stage II disease and 64.2% vs. 68.9% in stage III disease) between the open and laparoscopic CME groups. Conclusions: Pathologic (specimen lengths, resection margin lengths, number of lymph nodes, and R0 resection) and oncologic outcomes of the laparoscopic CME group were comparable. Moreover, laparoscopic CME conferred short-term benefits in terms of lower rates of postoperative complications, reduced time to soft diet, and reduced length of hospital stay. Based on these results, laparoscopic CME can be considered as a routine elective approach for right-sided colon cancer.

Original languageEnglish
Pages (from-to)151-157
Number of pages7
JournalInternational Journal of Surgery
Volume27
DOIs
Publication statusPublished - 2016 Mar 1

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Ligation
Colonic Neoplasms
Length of Stay
Survival Rate
Lymph Nodes
Operative Time
Ileum
Laparoscopy
Colon
Diet
Recurrence

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

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title = "Short-term and oncologic outcomes of laparoscopic and open complete mesocolic excision and central ligation",
abstract = "Purpose: To evaluate the pathologic, short-term and oncologic outcomes of laparoscopic and open complete mesocolic excision (CME) and central ligation for right-sided colon cancer. Methods: All patients (n = 215) underwent elective CME either by open surgery (n = 99) or laparoscopy (n = 116). Results: Mean number of retrieved lymph nodes (31 vs. 27, p = 0.012) was greater in the open CME group. Between the open and laparoscopic CME groups, there were no differences of length of the specimen (44.3 cm and 43.2 cm), ileum (14 cm and 13.3 cm), or colon (30.3 cm and 29.8 cm), respectively. Proximal and distal margins were similar. Mean operative time was similar between the open and laparoscopic CME groups (175 min vs. 178 min). The rate of 30-day postoperative complications (36.4{\%} vs. 23.3{\%}, p = 0.036) was higher in the open CME group. There were no differences in 3-year overall survival rates (86.9{\%} vs. 95.5{\%} in stage II disease and 70.2{\%} vs. 90.7{\%} in stage III disease) or recurrence-free survival rates (84.5{\%} vs. 84.8{\%} in stage II disease and 64.2{\%} vs. 68.9{\%} in stage III disease) between the open and laparoscopic CME groups. Conclusions: Pathologic (specimen lengths, resection margin lengths, number of lymph nodes, and R0 resection) and oncologic outcomes of the laparoscopic CME group were comparable. Moreover, laparoscopic CME conferred short-term benefits in terms of lower rates of postoperative complications, reduced time to soft diet, and reduced length of hospital stay. Based on these results, laparoscopic CME can be considered as a routine elective approach for right-sided colon cancer.",
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Short-term and oncologic outcomes of laparoscopic and open complete mesocolic excision and central ligation. / Kim, Ik Yong; Kim, Bo Ra; Choi, Eun Hee; Kim, Young Wan.

In: International Journal of Surgery, Vol. 27, 01.03.2016, p. 151-157.

Research output: Contribution to journalArticle

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T1 - Short-term and oncologic outcomes of laparoscopic and open complete mesocolic excision and central ligation

AU - Kim, Ik Yong

AU - Kim, Bo Ra

AU - Choi, Eun Hee

AU - Kim, Young Wan

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Y1 - 2016/3/1

N2 - Purpose: To evaluate the pathologic, short-term and oncologic outcomes of laparoscopic and open complete mesocolic excision (CME) and central ligation for right-sided colon cancer. Methods: All patients (n = 215) underwent elective CME either by open surgery (n = 99) or laparoscopy (n = 116). Results: Mean number of retrieved lymph nodes (31 vs. 27, p = 0.012) was greater in the open CME group. Between the open and laparoscopic CME groups, there were no differences of length of the specimen (44.3 cm and 43.2 cm), ileum (14 cm and 13.3 cm), or colon (30.3 cm and 29.8 cm), respectively. Proximal and distal margins were similar. Mean operative time was similar between the open and laparoscopic CME groups (175 min vs. 178 min). The rate of 30-day postoperative complications (36.4% vs. 23.3%, p = 0.036) was higher in the open CME group. There were no differences in 3-year overall survival rates (86.9% vs. 95.5% in stage II disease and 70.2% vs. 90.7% in stage III disease) or recurrence-free survival rates (84.5% vs. 84.8% in stage II disease and 64.2% vs. 68.9% in stage III disease) between the open and laparoscopic CME groups. Conclusions: Pathologic (specimen lengths, resection margin lengths, number of lymph nodes, and R0 resection) and oncologic outcomes of the laparoscopic CME group were comparable. Moreover, laparoscopic CME conferred short-term benefits in terms of lower rates of postoperative complications, reduced time to soft diet, and reduced length of hospital stay. Based on these results, laparoscopic CME can be considered as a routine elective approach for right-sided colon cancer.

AB - Purpose: To evaluate the pathologic, short-term and oncologic outcomes of laparoscopic and open complete mesocolic excision (CME) and central ligation for right-sided colon cancer. Methods: All patients (n = 215) underwent elective CME either by open surgery (n = 99) or laparoscopy (n = 116). Results: Mean number of retrieved lymph nodes (31 vs. 27, p = 0.012) was greater in the open CME group. Between the open and laparoscopic CME groups, there were no differences of length of the specimen (44.3 cm and 43.2 cm), ileum (14 cm and 13.3 cm), or colon (30.3 cm and 29.8 cm), respectively. Proximal and distal margins were similar. Mean operative time was similar between the open and laparoscopic CME groups (175 min vs. 178 min). The rate of 30-day postoperative complications (36.4% vs. 23.3%, p = 0.036) was higher in the open CME group. There were no differences in 3-year overall survival rates (86.9% vs. 95.5% in stage II disease and 70.2% vs. 90.7% in stage III disease) or recurrence-free survival rates (84.5% vs. 84.8% in stage II disease and 64.2% vs. 68.9% in stage III disease) between the open and laparoscopic CME groups. Conclusions: Pathologic (specimen lengths, resection margin lengths, number of lymph nodes, and R0 resection) and oncologic outcomes of the laparoscopic CME group were comparable. Moreover, laparoscopic CME conferred short-term benefits in terms of lower rates of postoperative complications, reduced time to soft diet, and reduced length of hospital stay. Based on these results, laparoscopic CME can be considered as a routine elective approach for right-sided colon cancer.

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